| Total Number of Beds: 108 | Percent of Occupied Beds: 97% |
| Total Number of Residents: 105 | Located Within a Hospital: No |
| Type of Ownership: For profit - Corporation | Multiple Nursing Homes by Same Owner: No |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 12/11/2003 |
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
| 2001-11-01 |
2002-01-22 |
Resident Assessment Deficiencies |
Do an assessment of the resident every year. |
Isolated |
Minimal harm or potential for actual harm |
| 2001-11-01 |
2002-01-22 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-11 |
0000-00-00 |
Resident Assessment Deficiencies |
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-11 |
0000-00-00 |
Resident Assessment Deficiencies |
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-11 |
0000-00-00 |
Quality Care Deficiencies |
Give professional services that follow each resident's written care plan. |
Isolated |
Minimal harm or potential for actual harm |
| 2003-12-11 |
0000-00-00 |
Quality Care Deficiencies |
Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. |
Isolated |
Actual harm |
| 2003-12-11 |
0000-00-00 |
Nutrition and Dietary Deficiencies |
Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. |
Isolated |
Minimal harm or potential for actual harm |
*** All violations listed are based on federal government records.